Id be interested to know this as well. I thought that they would just be synced under their Primary Account.
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I heard back from my CSM - according to him the 1 to many functionality is not translated to Marketo. Marketo will only associate the person record with the primary account in Salesforce. It will not be able to associate the contact with multiple accounts. It should not break anything, just not getting full functionality from SFDC.
I'll probably move forward with it, but expect that many at my company will be upset that the enhancement in SFDC which will help so much with targeting will not be available in Marketo. Trying to figure out how to address that....